A highly motivated employee with a desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
Follow Up Associate II
R1 RCM Care Coverage
10.2022 - 09.2023
Accumulated 12 years of experience in efficiently handling electronic processing of physician's medical claims for different insurance billing
Resolved 100+ claims daily, optimizing revenue collection with diligent follow-up and achieving zero balances.
EPIC Billing System and claim edits experience
Solved claim edits and denials efficiently using EPIC billing system along with strategic problem-solving techniques, resulted in a substantial increase of 45% in processing efficiency while reducing claim rejections.
Maintained confidentiality of sensitive customer information at all times.
Effectively communicated with insurance companies through website or telephone to ensure accurate patient eligibility and claim status verification.
Assessed and resolved discrepancies in account balances for timely resolution of accounting errors and correction before issuance of vendor invoices.
Team Member II
Sutter Shared Services
Rancho Cordova, CA
06.2011 - 10.2022
Followed up on outstanding claim balances and submitted timely appeals
Reviewed patient bills for accuracy and completeness, obtaining any missing information from patients or insurance companies
Consistently achieve 92% on monthly quality of work assessments, resulting in high-quality work output and optimized revenue cycle performance
Charge Entry, charge correction, payment posting
Implemented charge correction protocols accurately while maintaining compliance with billing integrity
Assisted with any other billing-related tasks required while in a positive work environment.
Education
Associate Degree in Business Administration -
Sierra Community College
06.2006
Skills
Prompt time management to accomplish tasks and highly motivated self-starter
Strong analytical, verbal, and communication skills
Works cooperatively with team members to reach goals even in challenging interpersonal situations
Highly developed skills in Microsoft Word, Excel, and other office equipment